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Progress Monitoring: Conceptual, Methodological, and Practical Applications
Within the past decade, considerable emphasis has been placed on the design and implementation of intervention services in educational settings. Three recent influences have contributed to this emphasis. First, interest in providing psychoeducational services for children with disabilities has increased. The enactment of the Education of All Handicapped Children Act of 1975 (Pub. L. 94–142) and the Individuals with Disabilities Education Act (IDEA) of 1990, as well as the 1997 reauthorization of IDEA, have focused attention on providing quality psychoeducational services to youth with disabilities. Consequently, interest in developing intervention or problem-solving teams in schools has increased. These teams of school professionals focus on the design, implementation, and evaluation of interventions implemented with children prior to and following referral to special education services. This focus has cultivated an increased interest in appropriate methods for determining the efficacy of school-based interventions so that interest in the development of evidence-based interventions (EBIs) and practices has grown over the past 5 to 7 years. This focus, evident within medicine, mental health, and, most recently, education, has increased awareness about the need to implement prevention and intervention programs that are based on sound scientific research. Such research requires the evaluation of intervention outcomes, thus increasing the importance of intervention evaluation in educational settings.
Together, these influences have increased interest in and thus the need for (a) efficient, appropriate methods for assessing the effectiveness of schoolbased interventions and (b) processes for making decisions about the need to continue, modify, or discontinue intervention services. Progress monitoring addresses these needs by providing a systematic process that includes (a) developing explicit intervention outcome goals for students, (b) assessing a student's progress toward these goals, and (c) making data-based decisions about intervention services.
Conceptual Foundations
Progress monitoring can be situated within the broader framework of a problem-solving model. Although many models of problem solving exist, they share a common characteristic: a focus on evaluating the outcomes of an intervention and using these data to make decisions about the responsiveness of a child to an intervention. The problem-solving framework is not new and is embedded in many early behavioral models that heavily relied on data-based decision making. Foundational work in behavioral consultation, in particular, attests to the importance that progress monitoring plays in the problemsolving process. In this regard, the progress-monitoring framework has always been closely aligned with outcome assessment in single-case research design. In these designs, repeated assessment was used to make interpretations of the data while taking into account trend, variability, and level.
The four steps of behavioral consultation have served as a template for many models of service delivery within schools and several problem-solving teams. Although many hybrids have developed, four fundamental aspects of the problem-solving model are problem identification, problem analysis, plan implementation, and problem evaluation. The stages of consultation are well known and have been elaborated in many sources. Problem evaluation is addressed here specifically.
Problem Evaluation and Progress Monitoring
Within a problem-solving model, the problem evaluation stage can involve several major aspects of intervention effectiveness, including (a) response to intervention, (b) progress toward an outcome goal, and (c) implementation integrity. Progress monitoring, unlike other common outcome evaluation methods (e.g., pre-post test comparison), can address these aspects of treatment effectiveness if designed to take into account these components. First, progress monitoring provides information about a student's response to an intervention; that is, whether the student is making gains as a result of an intervention. As progress is assessed continuously throughout the implementation of an intervention, data about a specific student's response to an intervention are available for analysis soon after the intervention plan is put into practice. As a result, school professionals can make decisions about the need for modifications to an intervention plan based on data that illustrate a pattern of performance. Second, progress monitoring provides school professionals with detailed information about whether the intervention is successful in helping the student make progress toward the established outcome goals. At the same time, this process provides students with clear expectations for their performance and continuous feedback about their progress toward outcome goals. Typically, these goals are implemented within the context of a social validation model and involve both subjective evaluation and social comparison strategies.
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